Organization
COLUMBIA FAMILY BARBER AND BEAUTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAULETTE ANN LUNDY (OWNER)
(917) 414-7280
Entity
Organization
Contact information
Practice address
6500 OLD WATERLOO RD, SUITE 2, ELKRIDGE, MD 21075-6475
(410) 799-0006
Mailing address
6500 OLD WATERLOO RD, SUITE 2, ELKRIDGE, MD 21075-6475
(410) 799-0006
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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